CHRISTMAS TRACTOR RUN 2024

CHRISTMAS TRACTOR RUN - Sunday 8th December 2024 Book your place

Deadline 14th November
DRIVER DETAILS
FULL NAME OF DRIVER*

Driver First NameDriver Surname
FULL ADDRESS - essential as we shall be POSTING a number out to be displayed in your Tractor Cab*

Address1

Address2

Town/CityCounty

Post Code
EMAIL ADDRESS *
Driver Email Address - essential for any updates and communication nearer to the time
MOBILE*
Driver Mobile
DATE OF BIRTH*

DayMonthYear
*If you are aged 16 or 17 years, then please add in details of your parent/guardian below who must also counter-sign this form and also your Staffordshire YFC Membership No
STAFFORDSHIRE YFC MEMBERSHIP No. (last 6 digits of membership No)
Only required if aged 16 or 17 years
DIETARY REQUIREMENTS?
Any dietary requirements we need to be aware of? Allergies, intolerances, etc. There will a Hog Roast is served at end of the run.
DRIVER DECLARATION:

ALL DRIVERS MUST SIGN HERE TO CONFIRM THAT THEY HOLD A VALID DRIVING LICENCE AND RELEVANT INSURANCE. IF YOU ARE AGED *16 OR 17 YEARS, THEN PLEASE ADD IN THE DETAILS OF YOUR PARENT/GUARDIAN WHO MUST ALSO COUNTER SIGN THIS FORM
DRIVERS SIGNATURE*

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DRIVER EXPERIENCE:

ALL DRIVERS MUST CONFIRM THAT THEY HAVE 12 MONTHS CONSISTENT TRACTOR DRIVING EXPERIENCE IN ORDER TO TAKE PART IN THIS EVENT.
DRIVERS SIGNATURE*

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PARENT/GUARDIAN SIGNATURE (U18s)

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PARENT / GUARDIAN / EMERGENCY CONTACT DETAILS (U18s)
ICE1
PARENT / GUARDIAN EMAIL
example@example.com
PARENT / GUARDIAN / EMERGENCY CONTACT DETAILS (U18s)
ICE2
TRACTOR INFORMATION
TRACTOR MAKE/MODEL & COLOUR
TRACTOR REGISTRATION NUMBER
IS YOUR TRACTOR OLDER THAN 30 YEARS? VINTAGE?*
Note that the arrival time for Vintage Tractors is 4.15pm onwards
TRACTOR/OWNER INFORMATION

To be completed if different than Driver Information
TRACTOR OWNER NAME

First NameLast Name
TRACTOR OWNER MOBILE
Driver Mobile
ALL TRACTOR OWNERS MUST SIGN HERE TO CONFIRM THAT THEY CONSENT TO THE DRIVER NAMED ON PAGE 1, DRIVING THE TRACTOR AND THAT THE TRACTOR IS COVERED BY VALID INSURANCE
TRACTOR OWNER SIGNATURE

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DECLARATION*
Signature*

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Date*

DayMonthYear
Date
Name*

First NameLast Name
Pay for Your Entry now please
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CHRISTMAS TRACTOR RUN ENTRY
£20.00

Total

£0.00
Should be Empty:

CHRISTMAS TRACTOR RUN - Sunday 8th December 2024 Book your place

DRIVER DETAILS

DRIVER DECLARATION:

DRIVER EXPERIENCE:

TRACTOR INFORMATION

TRACTOR/OWNER INFORMATION